Caitlin Maynard

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

582117 Issued in MA

Practice address

11 Sycamore St
Worcester, MA 01608-2213

Phone

(508) 798-1900

NPI assigned

Jan 16, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1528576246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SUBURBAN RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016024238",
            "telephone_number": "508-930-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SYCAMORE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082213",
            "telephone_number": "508-798-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "582117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie C. Mayberg, PA-C
• Danielle Victoria Mayblyum, MD
• Justin A Maykel, M.D.
• Linda Ann Maykel, DDS
• Amanda Paige Maynard
• Christopher Maynard, B.S.
• Charlene Mayor
• Kristen Lee Mayotte
• Kyle Steven Mayou
• Camden D Mazeika, CRNA

• Mental Health Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.